MEDICARE: BARBARA A. DALTON, MD P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	048038	GA

General Provider Information

NPI Number	:	1740303601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA A. DALTON, MD P.C.

Provider Business Mailing Address
First Line	:	1720 MARS HILL RD NW STE 8-273
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-7127
Country	:	US
Telephone Number	:	770-827-7924
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 MARS HILL RD NW
Second Line	:	SUITE #8-273
City	:	ACWORTH
State	:	GA
Zip	:	30101-7127
Country	:	US
Telephone Number	:	770-827-7924
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. BARBARA DALTON
Credential	:	M.D.
Telephone Number	:	770-827-7924

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	11/18/2011

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